10 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... On HRCT there are ... based on the x-ray findings ... #Diagnosis #Radiology ... #Pulmonary #CXR
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... findings that could ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Interstitial #Pattern
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis The key findings ... The HRCT shows a ... mosaic pattern ... #Clinical #Radiology ... #CXR #CTChest #
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... on HRCT and histology ... vascular diseases (e.g ... #Diagnosis #Radiology ... #Pulmonary #CTChest
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... A HRCT is needed ... HRCT demonstrated ... #Clinical #Radiology
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... there additional findings ... #Pulmonary #HRCT ... #CTChest #Interpretation ... #Algorithm #ILD
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... in HRCT, smooth ... #Clinical #Radiology ... #HRCT #CTChest
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
HRCT-findings. ... The dominant pattern ... and additional clinical ... #Clinical #Radiology ... #CTChest #RBILD
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
The radiographic findings ... bronchiectasis and subtle ... like idiopathic pulmonary ... #Clinical #Radiology ... #CTChest #DrugInduced
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
physical exam findings ... x-ray (CXR), try ... radiograph pattern ... not seen on a CXR ... #Radiology #CTChest